Summit Center for Behavioral Sciences, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35061917 Issued in OH

Legal business name

SUMMIT CENTER FOR BEHAVIORAL SCIENCES, LLC

Practice address

3200 W Market St
Suite 205
Fairlawn, OH 44333-3335

Phone

(330) 836-6825

Fax

(330) 836-6742

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maher M Mansour, M.D.

Title

Owner

Phone

(330) 836-6825

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1750434874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W MARKET ST",
            "address_2": "SUITE 205",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333335",
            "telephone_number": "330-836-6825",
            "fax_number": "330-836-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W MARKET ST",
            "address_2": "SUITE 205",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333335",
            "telephone_number": "330-836-6825",
            "fax_number": "330-836-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CENTER FOR BEHAVIORAL SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-836-6825",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35061917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2493930",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summa Physicians LLC
• Summa Physicians LLC
• Summa Physicians LLC
• Summa Physicians LLC
• Summit Behavioral Health Group, Inc.
• Summit County Internists & Associates, Inc.
• Summit Family Vision LLC
• Summit Spine & Injury Center LLC
• Deborah Sunderland, LDO
• Laurna Leigh Surdy, MD

• Psychiatry Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.